Melrose Eyecare Center
LBN: Loretta De Koster,O.D. Inc.
Melrose Eyecare Center is an health care organization with primary practice located at 2528 N Harlem Ave Main Floor, Elmwood Park IL 60707-2046. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty.
Loretta De Koster,O.D. Inc. can be contacted via phone (708) 456-4362, or through De Koster, Loretta via phone (708) 456-4362.
Contact Information
Primary practice address
2528 N Harlem Ave Main Floor
Elmwood Park IL 60707-2046
Phone: (708) 456-4362
Fax: (708) 456-5161
Website:
Authorized official contact:
Name: De Koster, Loretta Doctor of Optometry (OD)
Phone: (708) 456-4362
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046008683 | Illinois |
Profile Details
| NPI number | 1992982169 |
|---|---|
| LBN Legal business name | Loretta De Koster,O.D. Inc. |
| DBA Doing business as | Melrose Eyecare Center |
| Authorized official | De Koster, Loretta Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 30th, 2008 |
| Last updated | Apr 15th, 2012 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992982169 | NPPES |
| Illinois | Other | 01621057 | BCBS |
| Illinois | MEDICAID | 046008683 | BCBS |
| Illinois | Other | IL4407 | BCBS |
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